1326219957 NPI number — MS. ABBIE GUTHRIE SATTERFIELD M.ED., L.P.C

Table of content: STEVEN WALL (NPI 1992415988)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326219957 NPI number — MS. ABBIE GUTHRIE SATTERFIELD M.ED., L.P.C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SATTERFIELD
Provider First Name:
ABBIE
Provider Middle Name:
GUTHRIE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.ED., L.P.C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GUTHRIE
Provider Other First Name:
ABBIE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MED LPC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1326219957
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/06/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 774551
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STEAMBOAT SPRINGS
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80477-4551
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
979-819-2448
Provider Business Mailing Address Fax Number:
888-619-2453

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
419 OAK STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STEAMBOAT SPRINGS
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80487
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
979-819-2448
Provider Business Practice Location Address Fax Number:
888-619-2453
Provider Enumeration Date:
03/24/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  3010 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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